NURSING CARE PLAN FOR VOMITING

Cues

Diagnosis

Justification

Subjective:
Imbalanced Nutrition: less than body
Wala man syang ganang
requirements related to frequent
kumain tapos kapag kumain naman
vomiting and poor appetite
siya ay nagsusuka sya as verbalized
by the mother of the patient.

Patient was experiencing episodes of

vomiting and loss a weight over a
week

Objective:
Vomiting
Weakness
Weight loss of 5 kg over a
week(47 kg to 42 kg)
V/S taken as follows:
T: 39.5
P: 96
R: 20
Bp: 110/80

ASSESMENT
Subjective:
Nagsusuka ako
as verbalized by
patient.

DIAGNOSIS

INFERENCE

PLANNING

Imbalanced
Nutrition: less
than body
requirements
related to

Vomiting are
not diseases,
but rather are
symptoms of
many

Short term
goal:
At the end of 2
hours of
nursing

INTERVENTI
ON
Independent:
1) Use
flavoring
agents
R To

RATIONALE

EVALUATION

1) Suggest
severity
of effect
in fluid
and

Short Term Goals:

Goal partially met,
at the end of 2
hours of nursing

Objective:
Vomiting
Weakness
Weight
loss of 5 kg
over a
week(47
kg to 42
kg)
V/S taken
as follows:
T: 39.5
P: 96
R: 20
Bp: 110/80

frequent
vomiting and
poor appetite

different
conditions,
such as
infection food
poisoning,
motion
sickness,
overeating,
blocked
intestines,
illness,
concussion or
brain injury,
appendicitis,
and migraine.
Vomiting can
be symptoms
of more
serious
disease such
as heart
attacks,
kidney or liver
disorders,
CNS
Disorders,
brain tumors
and some
forms of
cancers

intervention
the patient will
be able to:
a) Verbalize
food
preference
which is
not
contraindi
cated to hr
underlying
disease to
promote
good
appetite.
b) Improve
appetite
from poor
to fair
c) Reduces
the
occurrenc
e of
vomiting
Long term
goals:
After 1 month
throughout the
nursing
intervention,
the client will

determine
enhance
food
satisfaction
and
stimulate
appetite
2) Encourage
client to
choose
foods.
Have family
members
bring foods
that seen
appealing
(which are
not
contraindica
ted
R To stimulate
appetite.
3) Promote
pleasant,
relaxing
environmen
t, including
socialization
when
possible.
R To enhance

electrolyt
e balance
and
nutritional
status
2) To
promote
comfort
and
enhance
intake
3) To reduce
gastric
acidity
and
improve
nutrient
intake.

Collaborative:
1) Refer to
dietician
from
modification
of diet
( General
Liquids)
R- to gradually
stimulate
appetite for

intervention the
patient will be
able to verbalize
food preference
which are not
contraindicated to
hr underlying
disease to
promote good
appetite and
reduced the
occurrence of
vomiting but
failed to improve
appetite from
poor to fair
Long Term Goals:
Goals not met for
patient was not
further assessed

be able to:
a) Regain the
weight
loss of 5
kg to
weigh
47kg from
42 kg)

food intake
4) Prevent/min
imize
unpleasant
odors
R- To reduce
the occurrence
of vomiting
Dependent:
1) Administer
medication
(metoclopra
mide 1
ampule
IVTT), as
ordered
R- To decrease
the occurrence
of vomiting

Prepared by:
MARY GRACE V. FUENTES
BSN1-B

fast recovery